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Early postoperative complications in pediatric abdominal solid tumor surgery according to Clavian-Dindo classification.
User, Idil Rana; Ardiçli, Burak; Çiftçi, Arbay Özden; Karnak, Ibrahim; Tanyel, Feridun Cahit; Oguz, Berna; Haliloglu, Mithat; Kutluk, Tezer; Varan, Ali; Ekinci, Saniye.
Afiliação
  • User IR; Department of Pediatric Surgery, Hacettepe University Faculty of Medicine, Altindag, Ankara, Turkey. idilrana.user@hacettepe.edu.tr.
  • Ardiçli B; Department of Pediatric Surgery, Hacettepe University Faculty of Medicine, Altindag, Ankara, Turkey.
  • Çiftçi AÖ; Department of Pediatric Surgery, Hacettepe University Faculty of Medicine, Altindag, Ankara, Turkey.
  • Karnak I; Department of Pediatric Surgery, Hacettepe University Faculty of Medicine, Altindag, Ankara, Turkey.
  • Tanyel FC; Department of Pediatric Surgery, Hacettepe University Faculty of Medicine, Altindag, Ankara, Turkey.
  • Oguz B; Department of Pediatric Radiology, Hacettepe University School of Medicine, Altindag, Ankara, Turkey.
  • Haliloglu M; Department of Pediatric Radiology, Hacettepe University School of Medicine, Altindag, Ankara, Turkey.
  • Kutluk T; Department of Pediatric Oncology, Hacettepe University School of Medicine, Altindag, Ankara, Turkey.
  • Varan A; Department of Pediatric Oncology, Hacettepe University School of Medicine, Altindag, Ankara, Turkey.
  • Ekinci S; Department of Pediatric Surgery, Hacettepe University Faculty of Medicine, Altindag, Ankara, Turkey.
Pediatr Surg Int ; 38(9): 1303-1310, 2022 Sep.
Article em En | MEDLINE | ID: mdl-35821272
PURPOSE: Postoperative period after abdominal solid tumor surgery is critical regarding complications. This study aimed to detect incidence and treatment of complications. METHODS: Single center retrospective study including years 2010-2019 for early postoperative complications were documented and graded according to Clavian-Dindo classification. RESULTS: The overall complication rate was 10% and they were chylous leak (n = 8, 2%), collection in surgical field (n = 8, 2%), acute renal failure (n = 7, 1.7%), hemorrhage (n = 5, 1.3%), intestinal obstruction (n = 4, 1%), surgical site infection (n = 3, 0.7%), thromboembolism (n = 3, 0.7%) and peripheric neuronal event (n = 2, 0.5%). Distribution of complications according to Clavian-Dindo classification was as follows: 2 grade I, 23 grade II, 9 grade IIIb, 5 grade IVa and 1 grade V. While age and percentage of benign or malignant disease were not different in groups with or without complications (p = 0.11, p = 0.24), males had more complications than female patients (p = 0.008). Having more than one surgery aiming tumor resection was associated with increased postoperative complications (p = 0.002). Incidence of complications were highest after extragonadal germ cell tumor (35%) and hepatic tumors (29%). CONCLUSIONS: Postoperative complications of abdominal tumor surgery are diverse in children. They are related with prolonged hospital stay and need for medical or surgical interventions. Number of surgeries, organ of origin and tumor type have an influence on risk of complications.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecção da Ferida Cirúrgica / Neoplasias Tipo de estudo: Etiology_studies / Observational_studies Limite: Child / Female / Humans / Male Idioma: En Revista: Pediatr Surg Int Assunto da revista: PEDIATRIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Turquia

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecção da Ferida Cirúrgica / Neoplasias Tipo de estudo: Etiology_studies / Observational_studies Limite: Child / Female / Humans / Male Idioma: En Revista: Pediatr Surg Int Assunto da revista: PEDIATRIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Turquia